Provider Demographics
NPI:1053582874
Name:TAYLOR, CHERYL DAVIDSON (MS, CCC/A)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DAVIDSON
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, CCC/A
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:DAVIDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC/A
Mailing Address - Street 1:1966 INWOOD RD.
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7298
Mailing Address - Country:US
Mailing Address - Phone:214-905-3000
Mailing Address - Fax:214-905-3022
Practice Address - Street 1:1966 INWOOD RD.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7298
Practice Address - Country:US
Practice Address - Phone:214-905-3000
Practice Address - Fax:214-905-3022
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50946231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter